Provider Demographics
NPI:1134824048
Name:BAJWA, AYFA RIAZ
Entity type:Individual
Prefix:MRS
First Name:AYFA RIAZ
Middle Name:
Last Name:BAJWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNITY HEALTH-WHITE COUNTY MEDICAL CENTER
Mailing Address - Street 2:3214 EAST RACE AVE
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143
Mailing Address - Country:US
Mailing Address - Phone:501-380-2298
Mailing Address - Fax:501-380-2282
Practice Address - Street 1:UNITY HEALTH-WHITE COUNTY MEDICAL CENTER
Practice Address - Street 2:3214 EAST RACE AVE
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143
Practice Address - Country:US
Practice Address - Phone:501-380-2298
Practice Address - Fax:501-380-2282
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program